Heart block 

I have just been told I have a heart block after a Holter monitor. I have atrial fibrillation and take Apixaban and Bisoprolol. I was not given anymore info I was just told if a cardiologist thinks I need seeing he will contact me, needless to say I am worrying. So after watching this video I feel so much better because it was explained so well. Thank you Dr Gupta.

Brilliant! Absolutely love your husband-wife analogies. Thank you for the teaching.

Thank you for your expert information...I absolutely love the way you compare it to spouses it makes it less complicated and more relatable to everyday life. I feel much better now watching this...Thank you again...keep doing what you do!

You just helped me to understand this heartblock concept in a way that I would be able to retain the knowledge. Thank you very much

Thank you so much for this video. I may have heart block. Referred by my GP to a cardiologist for a work up. I do not feel unwell or having dizziness or blackouts. I am 72 years old, female. Only take a mild BP med (Losartan) which regulates higher BP well, and levothyroxine for hypothyroidism. I hope for the best. Thank you again for this very easy to understand explanation of the types of heart block. You are a very valuable medical resource.🙏🏼

Very interesting indeed, thanks for sharing your vast knowledge!

Thank you for your video on heart block, it is so simple to understand. Five months ago I was diagnosed with coronary artery disease, a blockage in my left anterior descending artery, i, m good some days n some days can be really awful. I am fifty nine years old and I am from Guyana in South America. Wish my Doc could explain things in such a simple way

Excellent explanation. Thank you.

that was brilliant thank you for your explanation. just come from A and E and they had told me I had a left bundle branch block and I needed to see my GP. Had no idea what it was and was quite concerned about it. I am very relived that it is not serious! thank you again. Jacci

Thank you for your video on Heart block I have 2nd degree Mobitz type 1 with frequent PACs and your video was very reassuring.

Thank you Dr for the explanation.

Dr gupta sir another very important info on heart block thanks. 26/11/2019

I love your examples, especially the wife and the husband

Thanks for sharing this interesting video

thank you for your explanation informative

Thank you for this video - very helpful. One of my family members went to ER with chest and left arm pain and the ECG results came back with SINUS RHYTHM , INCOMPLETE RIGHT, BUNDLE BRANCH BLOCK, LEFT ANTERIOR FASCICULAR BLOCK & non specific st-t abnormalities. The ER doctor told him everything came back fine (e.g. x-ray, blood tests, etc) and then released him...he just discovered these ECG readings by reviewing medical records on his own. Should he do anything about this or not worry?

I had a cardiac ablation for ANVRT and AT two days ago. The doctor said I had very complex wiring. I have been feeling my heart flip flopping so much since ablation and have caught heart block and junctional rhythm on my home device. He confirmed both with an ecg in his office yesterday. My question to you is do you ever see the heart blocks And or junctional rhythm go away on their own after your heart heals and settles down after ablation? I didn’t have either before ablation. Thank you so much for your videos!

Thanks 😀

Hello @Dr.Sanjay Gupta I'm a 13 year old that's been physically active my whole life and have never had a problem with heart and have always been healthy. I recently have had a checkup and the pediatrician has told me that I may have a small heart blockage from some test from a Ecg. It says on this red paper that's seems to have my heart Rythm that I may have (sinus Rythm,atrial fibrillation,left anterior fascicular block,right bundle branch block,bundle branch block, and bifascicular block) I wanted to ask you if I'm at risk at any potential heart problems at my age or if you believe I have a problem. Then again this is what she thinks and that it may not be a for sure thing. PLEASE ANSWER AS SOON AS POSSIBLE!

I emailed your website with all the facts to my case but just needed to know. Can a sudden trauma to the head cause total heart block via damage to the Vagus nerve? I read where it can but is very rare?

Thanks for the video, I am 33 year old male, recently I had some hooking pain like muscle pain in left side of chest, I thought its either muscle pain or due to acidity but it comes next day too. so I went to a clinic, they took ECG, it shows first degree AV block, sinus rhythm, HR: 87 bpm, P:120 ms, PR: 240 ms, QRS: 89ms, QT/QTc: 351/422ms, P/QRS/T:40/63/13, RV5/SV1:0.694/0.836 mv, my cholesterol level is 225, ldl 130, i do have history of hyperlipidemia , I do gym regularly and run around 2 km continuously. but I don't feel any weakness or tiredness or any discomfort. Please advise me whether i should go for any further treatment or consultation with cardiologist. This first degree AV block will become worse? or can we control this not to get worse with proper exercise and healthy food. am really scared.. please advise me..

I have a complete left bundle branch block. No symptoms but it shows up clearly on an EKG. My QRS is 168 ms. Was told it shouldn't be above 150 ms. So I'm not sure if it's a problem or not.

Dr Gupta how does a cardiologist determine if a patient has a viral infection that has damaged the heart? Thank u! Love love love u!💕🧘🏻‍♀️💕

Great video. Can 1st degree heart block be genetic. Thank you heaps

Thank u doc

I had an ECG done a couple of weeks ago. I found out I had first degree heart block. I am a very active with cardio and weight training and was a competitive swimming growing up. If I understood this correctly, people with 1st degree heart block can get this if they are active? I have a slow resting HR in the 50’s in the morning. Thoughts?

A few months ago I had a routine EKG due to preop and it said Sinus Rhythm Abnormal EKG 1st Degree AV Block. My EP said not to worry. May never show again. IF it bothers me we can adjust my beta blocker which I take for precautionary reasons due to a long qt interval. I did have symptoms the day of the EKG. I didnt say anything because I just wanted to see what it says. I now have those symptoms again and my HR is the same as always -- around 55 or less. I was worried it might be Afib but I think ti is likely something to do with my Beta Blocker dose and the supplements I am taking. It makes me feel a little uneasy. BUt my HR is the same just like the day I had the abnormal EKG. I have had two normal EKGs since plus a surgery where all went well. My point is that 1st Degree AV Block can give you symptoms.

Just had a second degree heart block type 2 show up with SVT runs & 29-164bpm. I get lightheaded, shaky, eventually blacking out & falling. Is there any reason I shouldn't be getting a pacemaker? I cant even stand very long anymore, and I used to be very active before this.

Hi there i have very high Bp alot of the times when i do my readings my heart beat stops halfway through then restarts. I have bp 200/115 on average i saw a reanal specialist last wk and she commented on it as well, my question is , is that what you call a heart block? I love the way im able to learn so much from your videos. Thanks for teaching us all of your knowledge being a paitent its great to have a teacher like yourself

Nearly 18 months ago, I was diagnosed with heart block. The last ECG reading at Doctors surgery - "Interpretation (Unconfirmed) " reads "005 Sinus Brycardia. 114 Complete right bundle branch bloc. 275 Abnormal repolarisation, possible coronary ischemia" - Any comments Sanjay? thank you.

Been having headaches and dizziness that goes away and comes back

Thanks

This is so interesting thanks for explaining :) I just passed out after working out and was told I have a heart block lol fun stuff

I was diagnosed with the grade 2 morbitz type 1 last night but I'm only 35 and I get light headed. No one mentioned pacemaker as being needed but does this mean I need one?

Two weeks ago I had a 3rd-degree heart block and a pacemaker was installed after I was revived. I am confused and numb over the experience as it just happened. I am very active with a very slow heartbeat was 30 bpm now with the pacer 60 bpm. The question going forward survival rate with the pacemaker 8.5 years is this a actuate estimate? Very confused on survival rates.

Interesting illustration to make the subject easy to understand. Does beta blocker carvedilol worsening heart functioning when it has mobitz 1 or 2 and the third degree problem. Thanks Dr for the video

How likely do benign AV block progress into more higher degree AV block?

Guys, can someone help me. Is a dropped beat on an ECG the same as heart block?

Very helpful video thank you,during pregnancy I wore a 24 hour tape it came back saying I had few 2nd degree and more 1st degree 220 ms they didn’t say if it was 2nd degree type 1 or 2 but they seemed unconcerned but are doing an mri to rule out cardiomyopathy as my Grandad had a fib and brother had a heart problem at birth. Should I be worried it’s making me very anxious no symptoms other than an irregular feeling heartbeat I’m generally a healthy person. Thanks

Hi Dr Gupta, a few months ago I got a video call with you. They did all the tests you said they need to do (table test, ER, ECG while getting attack, EP,...) They found out I got a first degree block. The strange thing is that I feel the delay all the time. Sometimes it goes away and sometimes it comes again 😔. My PR is 290. They don’t want to give me a pacemaker and they say that it must be due to my vagal tone but what can I do to “improve” the vagal tone? My cardiologist also gave me ivabradine because I suffer so much from my first degree block and he thinks that when my HR will be lower it will turn on the “slow pathway” or something and will reduce it. My HR is high (80-99 in rest) so I can take ivrabradine. What is your opinion about my story? Should I give it a try? Many thanks

I also get shortness of breath, cough that won't go away, light headedness(not all the time),left chest pain

I just got told I have whenckebach at night and early hours of the morning. 48 hour monitor I’m 38 years old and no symptoms. I am terrified please tell me if I should be worried. The doctor says I had no pauses what does mean?

Hi Doc, recently had a 24 hr ecg. I had no ectopics, no arrhythmias, No abnormalities found at all other than Wenckebach phenomenom between 3am-6am. Apparently i had 10 dropped beats over the course of 3 hours. Just wanted to know whether this requires more investigation??

Hello Dr. I really hope you can answer me please I’m home afraid, I may be really sick. I’m so scared these were my results from the holter monitor. Primary rhythm was Sinus Rhythm. Average heart rate was 82 bpm, Minimum heart rate was 54 bpm on Day 2 / 05:31:19 am, Max heart rate was 162 bpm on Day 2 / 05:27:10 pm AV Block: < 0.01 %, most severe block demonstrated 2nd degree, Mobitz I PVC(s): Burden was 0.02 %, 99 total PVC(s), 1 disparate morphologies Ventricular Arrhythmia(s): 1 event(s), longest event 4 beats at Day 5 / 01:49:32 pm, fastest event 92 bpm at Day 5 / 01:49:32 pm Patient recorded 13 event(s) during the monitoring period. They were correlated with sinus rhythm/tachycardia and noise.

*Sounds like a chiropractic would help😌*

Also don't forget about atypical Mobitz 1 also knows as pseudo Mobitz 2 which has different characteristics to traditional, or 'classic' Mobitz 1 and mimics Mobitz 2.

But if you have 1st degree block and it's not being treated , can this eventually lead to 2nd or 3rd degree ? That wasn't explained 😕